Various Deviations
Also due to want of the cerebella check element (and hypotonic), the knee jerk become pendulous swinging back and forth instead of stopping after one or two kicks. Finally, ataxia is brought out with the patient in the recumbent position by the heel to knee test. With eyes open and closed he is asked to raise the foot high, touch the knee and carry the heel along the shin. The ataxia can also be demonstrated by asking the patient to touch an object with his toes. (Read on …)
Static ataxia
In the former the ataxia is not influenced by closing the eyes; in the latter (the sensory impulses going up the posterior columns and medial fillet to the thalamus and post central cortex) shutting out visual afferent impulses going to the brain aggravates or brings out the ataxia. From a clinical study or postural body reflexes, I have concluded that the Rom berg sign may on occasion be interpreted as a loss of optic righting reflexes. (Read on …)
Equilibrator Coordination
Walking backward is much easier in paresis or paralysis of the quadriceps femora’s then walking forward. To elicit further the presence of equilibrator ataxia in walking the following tests are employed: the patient is asked to rise on command and thirdly, he is asked to walk and turn around quickly ob sharp command. The ataxic gait is thereby brought out even though it be absent in normal walking.
Normally there is associated swinging of the arms in walking. These movements are quite automatic and they are lost in paralysis agates (Read on …)
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